Individual provider Active NPI

Tullio Emanuele, M.D.

  • Interventional Cardiology Physician
  • Bowling Green, KY
National Provider Identifier
1083655047
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
39597 Issued in KY
Practice address
427 US 31W Byp
Bowling Green, KY 42101-1703
Phone
(270) 904-0657
Fax
(270) 904-1746
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD39597 KY
Interventional Cardiology Physician 207RI0011X 39597 KY Primary

Addresses

Primary practice location

427 US 31W Byp
Bowling Green, KY 42101-1703

Mailing address

PO Box 808
Bowling Green, KY 42102-0808
Phone (270) 904-0657

Other identifiers 1

IdentifierTypeStateIssuer
64127251MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250116003397 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941195291 Reassigns benefits to 2 organizations
I20260225000284 IN Practitioner - Cardiovascular Disease (Cardiology) 0941195291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

1348 Walton Way
Suite 5100
Augusta, GA 30901-5108
Phone (706) 722-1381

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD39597KYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Group LLC CurrentSince Feb 3, 2026 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Nov 14, 2024 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Interventional Cardiology CurrentSince Mar 1, 2025 Accepting new patients
Lutheran Medical Group LLC CurrentSince Feb 3, 2026 Accepting new patients
Regional Health Services Inc Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1348 Walton Way
Ste 5100
Augusta, GA 30901
Phone (706) 724-8611

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

Interoperability endpoints

  • Direct secure messaging: tullio.emanuele.1@8478.direct.athenahealth.com
  • Direct secure messaging: tullio.emanuele@phoebehealth.gadirect.net
  • Direct secure messaging: tullio.emanuele.1@19475.direct.athenahealth.com
  • Direct secure messaging: temanuelemd348549@carlehiedirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1083655047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421020808",
            "telephone_number": "270-904-0657",
            "fax_number": "270-904-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011703",
            "telephone_number": "270-904-0657",
            "fax_number": "270-904-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUELE",
        "first_name": "TULLIO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "MD39597",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "39597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64127251",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.